Medica policy
Surgical and Minimally Invasive Treatments for Benign Prostatic Hypertrophy/Hyperplasia (BPH)
Surgical and Minimally Invasive Treatments for Benign Prostatic Hypertrophy/Hyperplasia (BPH) is a public Medica policy (effective Dec 1, 2025). It lists 33 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Payer
- Medica
- Effective
- Dec 1, 2025
- Line of business
- Commercial, Medicaid
- Source
- partner.medica.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes.
| Code | Other Medica policies |
|---|---|
| 0421T | Policies naming 0421T |
| 0714T | Policies naming 0714T |
| 0867T | Policies naming 0867T |
| 37243 | Policies naming 37243 |
| 51721 | Policies naming 51721 |
| 52242 | Policies naming 52242 |
| 52282 | Policies naming 52282 |
| 52284 | Policies naming 52284 |
| 52441 | Policies naming 52441 |
| 52442 | Policies naming 52442 |
| 52450 | Policies naming 52450 |
| 52601 | Policies naming 52601 |
| 52630 | Policies naming 52630 |
| 52647 | Policies naming 52647 |
| 52648 | Policies naming 52648 |
| 52649 | Policies naming 52649 |
| 53850 | Policies naming 53850 |
| 53852 | Policies naming 53852 |
| 53854 | Policies naming 53854 |
| 53855 | Policies naming 53855 |
| 53865 | Policies naming 53865 |
| 53866 | Policies naming 53866 |
| 53899 | Policies naming 53899 |
| 55873 | Policies naming 55873 |
| 55881 | Policies naming 55881 |
| 55882 | Policies naming 55882 |
| 55899 | Policies naming 55899 |
| 75894 | Policies naming 75894 |
| C2596 | Policies naming C2596 |
| C9734 | Policies naming C9734 |
| C9739 | Policies naming C9739 |
| C9740 | Policies naming C9740 |
| C9748 | Policies naming C9748 |